<style>.patient-item-fill #startTime{direction:inherit}.patient-item-fill #endTime{direction:inherit}</style>
<div style="display: none">
    <input type="hidden" id="oneChannelValue" value="">
    <input type="hidden" id="twoChannelValue" value="">
    <input type="hidden" id="thrChannelValue" value="">
</div>
<div class="patient-content-item">
    <div class="patient-item-title"><span>最后回访时间</span></div>
    <div class="patient-item-fill">
        <input name="startTime" id="startTime" readonly="readonly"  onclick="laydate({istiem:true,format:'YYYY-MM-DD hh:mm:ss'})">
    </div>
</div><div class="patient-content-item">
    <div class="patient-item-title"><span>到</span></div>
    <div class="patient-item-fill">
        <input name="endTime" id="endTime" readonly="readonly"  onclick="laydate({istiem:true,format:'YYYY-MM-DD hh:mm:ss'})">
    </div>
</div>
<div class="patient-content-item">
    <div class="patient-item-title"><span>片区</span></div>
    <div class="patient-item-fill">
        <select name="area" id="area">
            <option value="">请选择</option>
            @for(str in arealist){
            <option value="${str.areaAbbreviation}">${str.area}</option>
            @}
        </select>
    </div>
</div>
<div class="patient-content-item">
    <div class="patient-item-title"><span>门诊</span></div>
    <div class="patient-item-fill">
        <select name="outpatientName" id="outpatientName">
            <option value="">请选择</option>
            @for(str in outpatientManagementList){
            <option value="${str.simplename}">${str.simplename}</option>
            @}
        </select>
    </div>
</div>
<div class="patient-content-item">
    <div class="patient-item-title"><span>部门</span></div>
    <div class="patient-item-fill">
        <select name="department" id="department">
            <option value="">请选择</option>
            @for(str in rolelist){
            <option value="${str.id}">${str.name}</option>
            @}
        </select>
    </div>
</div>
<div class="patient-content-item">
    <div class="patient-item-title"><span>访问病种</span></div>
    <div class="patient-item-fill">
        <select name="accessDisease" id="accessDisease">
            <option value="">请选择</option>
            <option value="种植">种植</option>
            <option value="正畸">正畸</option>
            <option value="修复">修复</option>
            <option value="美白">美白</option>
            <option value="牙周">牙周</option>
            <option value="医院类">医院类</option>
            <option value="拔牙智齿">拔牙智齿</option>
            <option value="洗牙洁牙">洗牙洁牙</option>
            <option value="儿童齿科">儿童齿科</option>
        </select>
    </div>
</div>
<div class="patient-content-item">
    <div class="patient-item-title"><span>预约项目</span></div>
    <div class="patient-item-fill">
        <select name="appointmentPayService" id="appointmentPayService">
            <option value="">请选择</option>
            @for(str in departmentList){
            <option value="${str.department}">${str.department}</option>
            @}
        </select>
    </div>
</div>
<div class="patient-content-item">
    <div class="patient-item-title"><span>回访状态</span></div>
    <div class="patient-item-fill">
        <select name="statuss" id="statuss">
            <option value="">请选择</option>
            <option value="待定">待定</option>
            <option value="跟进">跟进</option>
            <option value="预约">预约</option>
            <option value="过期">过期</option>
            <option value="无效">无效</option>
        </select>
    </div>
</div>
<div class="patient-content-item">
    <div class="patient-item-title"><span>到店状态</span></div>
    <div class="patient-item-fill">
        <select name="status" id="status">
            <option value="">请选择</option>
            <option value="预约">预约</option>
            <option value="到店">到店</option>
        </select>
    </div>
</div>
<div class="patient-content-item">
    <div class="patient-item-title"><span>一级渠道</span></div>
    <div class="patient-item-fill">
        <select name="oneChannel" id="oneChannel">
        </select>
    </div>
</div>
<div class="patient-content-item">
    <div class="patient-item-title"><span>二级渠道</span></div>
    <div class="patient-item-fill">
        <select name="twoChannel" id="twoChannel">
        </select>
    </div>
</div>
<div class="patient-content-item">
    <div class="patient-item-title"><span>三级渠道</span></div>
    <div class="patient-item-fill">
        <select name="thrChannel" id="thrChannel">
        </select>
    </div>
</div>
<div class="patient-content-item">
    <div class="patient-item-title"><span>建档人</span></div>
    <div class="patient-item-fill"><input name="archiving" id="archiving" type="text" autocomplete="off"></div>
</div>
<div class="patient-content-item">
    <div class="patient-item-title"><span>跟进人</span></div>
    <div class="patient-item-fill"><input name="follower" id="follower" type="text" autocomplete="off"></div>
</div>
<script src="${ctxPath}/static/js/common/initChannelss.js?v=20200628"></script>
<script src="${ctxPath}/static/js/common/jsChannel.js?v=20200628"></script>
